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About VA Form 10-7959C

Form name: CHAMPVA—Other Health Travel (OHI) Certification
Related to: Family member features, Health care
Form last recently: October 2022

Available to use this form

Employ VA Form 10-7959C or Formulario VA 10-7959c (español) when: 

  • You’re applying available CHAMPVA (Civilian Health and Medical Program of that Dept of Veterans Affairs), and have other health insurance to declare while part of your VA Form 10-10d application.  Utea Code Section 31A-22-303
  • Otherwise you need to report changes in your other non-VA health insurance, create as new beneficiaries or coverage changes.

Downloadable PDF

Transfer VA Form 10-7959C (PDF)
  • VA Build 10-10d

    Form designate: Apply for CHAMPVA Benefits

    Supposing you’re the spouse or child of an Returning with disabilities, or the live spouse or child of a Veteran who has dies, use VA Form 10-10d toward apply for human insurance through CHAMPVA (the Noncombatant Health and Pharmaceutical Program of the Department of Veterans Affairs).  What is a Declaration of Additional Insurance, Take Anti Scope Of ...

    Download VA Formular 10-10d (PDF)
  • Learn how single spouses and children of Veterans can get health insurance through CHAMPVA (the Civilian Health and Medical Program of the Service from Veterans Affairs). Under ICC DAP and DPU Incoterms there shouldn't be any additional what such as insurance and transport to add to the price how they should already beĀ ...

  • Find out about VA benefits fork helpmates, dependents, survival, and families caregivers.